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A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion.
Ophthalmology. 2010 Feb; 117(2):352-5.O

Abstract

OBJECTIVE

To determine whether there is a statistically significant difference in the surgical outcome of everting sutures (ES) alone versus everting sutures with a lateral tarsal strip (ES+LTS) in the treatment of involutional entropion.

DESIGN

Prospective randomized comparative trial.

PARTICIPANTS

Sixty-three patients with primary involutional lower eyelid entropion were enrolled in the study. The age range was 54 to 94 years, with a mean age of 77 years. Baseline characteristics of the comparative groups were similar.

METHODS

Patients requiring primary surgical repair for involutional entropion were selected, and those providing informed consent were randomized for surgery. Thirty-six patients were randomized to ES alone, and 27 patients were randomized to ES+LTS. Patients were evaluated at 3 weeks and 6, 12, and 18 months postoperatively.

MAIN OUTCOME MEASURES

Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on tetracaine provocation testing at or before the 18-month follow-up visit.

RESULTS

Eight patients were lost to follow-up (7 had ES alone). Of the 55 patients with complete follow-up data, there were 6 failed procedures in the patients who underwent ES alone and no failed procedures in the patients who underwent ES+LTS (P = 0.02).

CONCLUSIONS

These data provide strong evidence that success rates at 18 months are higher in patients treated with ES+LTS procedure compared with ES alone.

Authors+Show Affiliations

Charing Cross and Western Eye Hospitals, London, United Kingdom.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

19875173

Citation

Scheepers, Marius A., et al. "A Randomized Controlled Trial Comparing Everting Sutures With Everting Sutures and a Lateral Tarsal Strip for Involutional Entropion." Ophthalmology, vol. 117, no. 2, 2010, pp. 352-5.
Scheepers MA, Singh R, Ng J, et al. A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion. Ophthalmology. 2010;117(2):352-5.
Scheepers, M. A., Singh, R., Ng, J., Zuercher, D., Gibson, A., Bunce, C., Fong, K., Michaelides, M., & Olver, J. (2010). A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion. Ophthalmology, 117(2), 352-5. https://doi.org/10.1016/j.ophtha.2009.06.056
Scheepers MA, et al. A Randomized Controlled Trial Comparing Everting Sutures With Everting Sutures and a Lateral Tarsal Strip for Involutional Entropion. Ophthalmology. 2010;117(2):352-5. PubMed PMID: 19875173.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion. AU - Scheepers,Marius A, AU - Singh,Ravi, AU - Ng,James, AU - Zuercher,Doris, AU - Gibson,Andrew, AU - Bunce,Catey, AU - Fong,Ken, AU - Michaelides,Michel, AU - Olver,Jane, Y1 - 2009/10/28/ PY - 2008/10/05/received PY - 2009/06/14/revised PY - 2009/06/23/accepted PY - 2009/10/31/entrez PY - 2009/10/31/pubmed PY - 2010/2/25/medline SP - 352 EP - 5 JF - Ophthalmology JO - Ophthalmology VL - 117 IS - 2 N2 - OBJECTIVE: To determine whether there is a statistically significant difference in the surgical outcome of everting sutures (ES) alone versus everting sutures with a lateral tarsal strip (ES+LTS) in the treatment of involutional entropion. DESIGN: Prospective randomized comparative trial. PARTICIPANTS: Sixty-three patients with primary involutional lower eyelid entropion were enrolled in the study. The age range was 54 to 94 years, with a mean age of 77 years. Baseline characteristics of the comparative groups were similar. METHODS: Patients requiring primary surgical repair for involutional entropion were selected, and those providing informed consent were randomized for surgery. Thirty-six patients were randomized to ES alone, and 27 patients were randomized to ES+LTS. Patients were evaluated at 3 weeks and 6, 12, and 18 months postoperatively. MAIN OUTCOME MEASURES: Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on tetracaine provocation testing at or before the 18-month follow-up visit. RESULTS: Eight patients were lost to follow-up (7 had ES alone). Of the 55 patients with complete follow-up data, there were 6 failed procedures in the patients who underwent ES alone and no failed procedures in the patients who underwent ES+LTS (P = 0.02). CONCLUSIONS: These data provide strong evidence that success rates at 18 months are higher in patients treated with ES+LTS procedure compared with ES alone. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/19875173/A_randomized_controlled_trial_comparing_everting_sutures_with_everting_sutures_and_a_lateral_tarsal_strip_for_involutional_entropion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(09)00731-3 DB - PRIME DP - Unbound Medicine ER -